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Aetna Vision offers complete, high quality vision care to Berkeys employees. The plan includes benefits

for eye exams, frames, eyeglasses and contact lenses. In addition, members receive discounts on Lasik

surgery and additional frames and lenses.

To locate a vision provider, go to AetnaVision.com/Aetna/Public/ProvLoc.emvc. Then enter your search

criteria. Retail locations include Pearle Vision, Target, LensCrafters, Sears Optical, JCPenney, America’s

Best, Texas State Optical and more. Many independent providers also participate in the network.

VISION PLAN

Benefit Frequency

Eye Exam

Eyeglass Lenses or Contact Lenses

Frames

Benefit or Service

In-Network

(you pay)

Out-of-Network

(you are reimbursed)

Eye Exam

$10 copay

Up to $25

Eyeglass Lenses

Single Vision

Up to $10

Bifocal

Up to $25

Trifocal

Up to $55

Progressive

$90 copay

Up to $25

Contact Lenses

(in lieu of Eyeglass Lenses/Frames)

Conventional

$130 allowance

Up to $90

Fitting Fee for Conventional Lenses

$55 copay

Not covered

Medically Necessary

(cataracts, eye disease, etc.)

Paid in full

Up to $200

Frames

(in lieu of Contact Lenses)

$130 allowance; then

80% of balance over $130

Up to $90

Vision Coverage - Aetna

Once every 12 months

Once every 12 months

Once every 12 months

$25 copay